Bronchiolitis obliterans organizing pneumonia mimicking community-acquired pneumonia.
BACKGROUND
Bronchiolitis obliterans organizing pneumonia is a rare disease that mimics infectious pneumonia. Most patients respond well to corticosteroid therapy.


METHODS
We report a single case and findings from an English language literature search of MEDLINE using key words "bronchiolitis obliterans organizing pneumonia."


CONCLUSIONS
Bronchiolitis obliterans organizing pneumonia should be considered when a patient with pneumonia does not respond to antibiotics and has multiple patchy infiltrates and characteristic bronchoalveolar lavage patterns. A tissue sample is required for definitive diagnosis. Infection by a multiresistant organism can occur with multiple antibiotic therapy and concomitant use of corticosteroids, particularly when no initial infecting organism is identified.
Ward
E
E
Department of Family Practice, Michigan State University Kalamazoo-Center for Medical Studies 49008, USA.
Rog
J
J
D000900:Anti-Bacterial Agents / Q000009:adverse effects; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy; D018549:Cryptogenic Organizing Pneumonia / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D016239:MEDLINE; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids